Nevada Medicaid and Nevada Check Up News (Third Quarter 2018 Provider Newsletter) [Read]

Behavioral Health Providers Invited to Attend Monthly DHCFP Webinars [See Web Announcement 1628]

Attention All Providers: Requirements on When to Use the National Provider Identifier (NPI) of an Ordering, Prescribing or Referring (OPR) Provider on Claims [Announcement 850]

If you are a Medicaid provider whose revalidation application has not been processed by your termination due date, you will be ineligible to provide services to any Nevada Medicaid or Nevada Check Up recipients, including both Fee-for-Service and Managed Care Organization (MCO) enrolled recipients. See Web Announcement 1265

Enrollment Termination Frequently Asked Questions (FAQs) [Review]


Urgent Notice for Behavioral Health Providers: Upcoming Moratorium on Enrollment for Specialty 301 (Qualified Mental Health Associates) and Specialty 302 (Qualified Behavioral Aides) [See Web Announcement 1746]

Modernization: Dates All Providers and Delegates Need to Know to Prepare for Paperless Processes [See Web Announcement 1733]

Modernization: Trading Partner Enrollment and Certification (Testing) Must Be Completed Immediately to Avoid Any Service Interruptions [See Web Announcement 1766]

Scheduled Site Maintenance

During the scheduled site maintenance window the Provider Web Portal will be unavailable. The table below shows the regularly scheduled maintenance window. All times will be in the Pacific time zone.

Monday - Friday
12:00AM - 12:30AM

8:00PM - 12:30AM

Contact the Provider Training Unit

Provider Relations Field Service Representative Team Territories: Please refer to the attached document to determine which Field Representative is assigned to assist you with inquiries.

Nevada Medicaid and the Division of Health Care Financing and Policy (DHCFP)/Nevada Medicaid are committed to helping providers understand billing policy and successful claim submission. With these priorities in mind, we offer opportunities to increase your knowledge throughout the year in a variety of locations, formats and times, including lunch and learn sessions held during lunch hours to minimize time needed to be away from regular business hours. Instructor-led virtual training is also a great opportunity when travel is not possible, or when multiple staff from an office plan to attend.

Training is free of charge and we encourage the attendance of billing staff, billing agencies, direct practitioners/health care providers, office managers, admitting and front-desk staff, etc.

Provider training workshop schedules will be posted quarterly in a Web Announcement and on this webpage. Registration is required to attend the scheduled workshops. To register, simply select the 2018 Provider Training Registration Website link below, select the workshop of your choice, complete the required information and submit.

If you have difficulty registering, please send an email to our Provider Services Field Representative Team at Please include your name, contact information, and the workshop you are attempting to register to attend. A Field Representative will contact you to assist with the registration process.

In addition to the training workshops scheduled throughout the year, Provider Services Field Representatives are available in your area to assist when you have questions, concerns or additional training needs. As a reminder, the Annual Medicaid Conference is not a venue to discuss specific billing issues as they may include sensitive and confidential information. Please do not hesitate to reach out to your Field Representative as the need arises. If you are unsure who your representative is, please select the Provider Relations Field Service Representative Team Territories link and review Web Announcement 719 for additional details.

Training Calendar and Registration
Training Calendar
2018 Provider Training Registration Website
Training Announcements
Updated Date Title
Nov. 29, 2018 New Provider Training Scheduled for December 2018
Oct. 19, 2018 New Provider Training Scheduled for November 2018
Sept. 4, 2018 Attention All Provider Types: Upcoming Training Session Regarding Claims Appeals and Prior Authorization Submission and Appeals
July 11, 2018 Attention All Provider Types: Upcoming Training Sessions Regarding Claims Appeals, Adjustments and Voids
Self-Paced Training

Self-paced, computer-based training courses available on demand for providers.

Group Code Training Portal
PROV Nevada Medicaid Training Portal
Date Topic
July 2017 Learning Management System (LMS) Tip Sheet

Serious Occurrence Report (SOR) Form Instruction Video
Workshop Materials

Workshop materials will be posted to this site upon completion of the workshop.

Date Topic
September 2018 Nevada Medicaid Nursing Facility PASRR/LOC Training
September 2018 PASRR and Nursing Facility LOC Frequently Asked Questions (FAQs)
June 2018 Adult Day Health Care (Provider Type 39) Provider Training
June 2018 Claims Appeals, Adjustments and Voids Provider Training | Tip Sheet for Claims Appeals
June 2018 Psychiatric Hospital, Inpatient (Provider Type 13) Provider Training
May 2018 Outpatient Mental Health Treatment Plan Fact Sheet
May 2018 Registered Dietitian (Provider Type 15) Provider Training
April 2018 Durable Medical Equipment (Provider Type 33) Provider Training
April 2018 Personal Care Services Provider Training
April 2018 Therapy Provider Training
April 2018 Behavioral Health Provider Training
February 2018 Hospice Provider Training (Authorization and Claim Information)
February 2018 Applied Behavior Analysis (ABA) Provider Training | Appendix A: ABA Common Denial Edits and Resolutions
January 2018 New Provider Orientation
December 2017 Dental and Orthodontia Provider Web Portal Provider Training
November 2017 Hospice Provider Training (Policy Updates)
October 2017 Community Paramedicine Provider Training
July 2017 Provider Web Portal Prior Authorization Training (Updated October 2017)
July 2017 Personal Care Services Provider Web Portal Training
July 2017 How to Create a Prior Authorization (Tip Sheet)
March 2017 Payerpath CMS-1500 Training
March 2017 Payerpath UB-04 Training
March 2017 Payerpath Dental Training
June 2016 Nursing Facility Tracking Form Validation Guide
June 2016 Nevada Medicaid Nursing Facility and ICF/IID Tracking Process Training
June 2016 ICF/IID Tracking Form Validation Guide
December 2015 PASRR Training
March 2015 Instructions for Requesting Roles, Approving Roles and Removing Users in the PASRR Web Portal
August 2015 ICD-10 Overview
August 2014 National Drug Code (NDC): Billing for Outpatient Drugs Administered in Physician Offices, Urgent Care Settings, Clinics and Outpatient Facilities
September 2013 New Level Of Care (LOC) Screening Tool for PASRR Users
Annual Medicaid Conference Materials

Below are the materials presented at the Annual Medicaid Conference held in August and September of 2018.

2018 Medicaid Conference Main Presentation
Breakout Session: Behavioral Health
Breakout Session: Claim Appeals and Prior Authorization Submission
Breakout Session: Provider Enrollment and Program Integrity
Breakout Session: Long Term Services and Supports / Electronic Visit Verification System
Nevada MMIS Modernization Handout